| Nova Neurology Center | |
|
9303 Center St Ste 200 Manassas VA 20110-1801 | |
| (571) 989-3090 | |
| (571) 234-6721 |
| Full Name | Nova Neurology Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 9303 Center St Ste 200, Manassas, Virginia |
| Authorized Official Name and Position | Mohammadhamed Labbaf (PRESIDENT) |
| Authorized Official Contact | 5719893090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Neurology Center Po Box 2017 Centreville VA 20122-2017 Ph: (571) 989-3090 | Nova Neurology Center 9303 Center St Ste 200 Manassas VA 20110-1801 Ph: (571) 989-3090 |
| NPI Number | 1720480429 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 02/21/2020 |
| Medicare PECOS PAC ID | 7012239734 |
|---|---|
| Medicare Enrollment ID | O20141209001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720480429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101253229 (Virginia) | Primary |
| Provider Name | Mohammadhamed Labbaf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538397310 PECOS PAC ID: 4688824741 Enrollment ID: I20130926000846 |
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